Electronic Medical Credentialing Services

Managed Care Organizations can register with Med Advantage online and search our database of nearly 1 Million medical providers (MD’s and DO’s).
Our database is updated every 90 days and contains the following information:

  • Graduation From Medical School: Primary source verification from the medical school.

  • Graduation From Internships, Residencies and Fellowships: Primary source verification
    of post graduate education.

  • Board Certification: Primary source verification from The American Board of Medical
    Specialties.

  • Valid DEA Certificate: Primary source verification from the DEA records certification.

  • Department of Health and Human Services Medicare/Medicaid Status: Primary source
    verification from DHHS Cumulative Sanction Report.

  • Current Valid License: Primary source verification of current license and sanction from
    the state licensing board.

The information in Med Advantage’s database is compiled from the American Medical
Association (AMA), The American Board of Medical Specialties (ABMS), The National Technical
Information Service (NTIS), the Department of Health and Human Services (DHHS), and the
respective state licensing boards. This data meets all requirements for The Joint Commission,
NCQA and URAC.

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Network Data Services for Healthcare Orgs:

Med Advantage delivers a proven, robust software solution designed to maintain and ensure the accuracy of healthcare and insurance payers’ provider databases. Our service reliably matches and joins data from multiple sources.

Our data services are performed via a secure, hosted web service (ASP) which scrubs payers’ internal provider file data to identify inaccurate and incomplete information. We can then enhance your data with primary source verified information from our comprehensive database. This includes office-based physicians, practitioners, hospitals and facilities, business entities, pharmacists, pharmacies, ancillary providers and organizations. We track providers across time, including changes in address, name, license status and affiliations. This service is also actionable and calculates match scores for automatically interpreting and implementing results based on client-specific rules.